
<div class="container">
<div class="wiki-header">New Ticket</div>
    <div id="ticket">
        <h2>Create New Ticket</h2>
        <form method="post" action="" id="createTicket">
            <fieldset id="properties">
                <legend>Properties</legend>
                <table>
                    <tr>
                        <th><label for="field-summary">Summary:</label></th>
                        <td class="fullrow" colspan="3">
                            <input type="text" id="field-summary" name="field_summary" size="70" />
                        </td>
                    </tr>
                    <tr>
                        <th><label for="field-description">Description:</label></th>

                        <td class="fullrow" colspan="3">
                            <textarea id="field-description" name="field_description" class="wikitext" rows="10" cols="68"></textarea>
                        </td>
                    </tr>
                    <tr>
                        <th class="col1">
                            <label for="field-type">Type:</label>
                        </th>

                        <td class="col1">
                            <select id="field-type" name="field_type">
                                <option></option>
                            </select>
                        </td>
                        <th class="col2">
                            <label for="field-priority">Priority:</label>
                        </th>
                        <td class="col2">
                            <select id="field-priority" name="field_priority">
                                <option></option>
                            </select>
                        </td>
                    </tr>
                    <tr>
                        <th class="col1">
                            <label for="field-milestone">Milestone:</label>
                        </th>
                        <td class="col1">
                            <select id="field-milestone" name="field_milestone">
                                <option></option>
                                <optgroup label="Open (no due date)">
                                    <option></option>
                                </optgroup>
                            </select>
                        </td>
                        <th class="col2">
                            <label for="field-component">Component:</label>
                        </th>
                        <td class="col2">
                            <select id="field-component" name="field_component">
                                <option></option>
                            </select>
                        </td>
                    </tr>
                    <tr>
                        <th class="col1">
                            <label for="field-version">Version:</label>
                        </th>
                        <td class="col1">
                            <select id="field-version" name="field_version">
                                <option></option>
                                <option></option>
                            </select>

                        </td>
                        <th class="col2">
                            <label for="field-keywords">Keywords:</label>
                        </th>
                        <td class="col2">
                            <input type="text" id="field-keywords" name="field_keywords" />
                        </td>
                    </tr>
                    <tr>

                        <th class="col1">
                            <label for="field-cc">Cc:</label>
                        </th>
                        <td class="col1">
                            <span>
                                <input type="text" id="field-cc" title="Space or comma delimited email addresses and usernames are accepted." name="field_cc" />
                            </span>
                        </td>

                        <th class="col2"></th>
                        <td class="col2"></td>
                    </tr>
                    <tr>
                        <th class="col1"><label for="field-owner">Assign to:</label></th>
                        <td class="col1" colspan="3">
                            <select id="field-owner" name="field_owner">
                                <option></option>
                            </select>
                        </td>
                    </tr>
                </table>
                <!--<input type="hidden" id="" name="captchaId" value="" />
                Captcha: <input type="text" id="" name="captchaWord" />-->
            </fieldset>
            <p>
                <label>
                    <input type="checkbox" name="attachment" />
                    I have files to attach to this ticket
                </label>
            </p>
            <div class="buttons">
                <input type="hidden" name="field_status" value="new" />
                <input type="submit" name="submit" value="Create ticket" />
                <input type="hidden" name="project" value="" />
            </div>
        </form>
    </div>
</div>